Organization
GAUTAM MALHOTRA, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM MALHOTRA (PHYSICIAN)
(908) 647-1072
Entity
Organization
Contact information
Practice address
33 OVERLOOK RD STE 212, SUMMIT, NJ 07901-3563
(908) 273-0500
Mailing address
33 OVERLOOK RD STE 212, SUMMIT, NJ 07901-3563
(908) 273-0500
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MAO7676200
NJ
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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